ITSS - ACC-RI Customer Complaint Record.pdf

PDF 190 KB Posted

Attached to
Information Technology (IT) Services and Support Federal contract opportunity
Solicitation number
W519TC-25-R-ITSS
Issued by
Department of the Army Materiel Command Contracting Command Rock Island Arsenal

About this file

This is a Customer Complaint Record form used by the Army Contracting Command Rock Island (ACC-RI) to document and process complaints from customers regarding contract performance or requirements.

The form captures essential complaint information including the date and time of complaint submission, complaint source (either an organization or individual with contact details), and a detailed description of the nature of the complaint. It requires identification of the relevant contract number and requirement reference for tracking purposes. The form includes a validation section where the complaint is assessed and marked as either valid (triggering contractor notification) or invalid. Upon validation, the form documents the date and time the contractor was informed, the contractor's name, and detailed information regarding actions taken by the contractor in response. The form concludes with fields for the Contracting Officer's Representative (COR) to sign off on receipt and validation, along with checkboxes and date fields for COR filing and customer follow-up activities. This template serves as the official record-keeping mechanism for complaint management and contractor accountability within ACC-RI operations.

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Text version

Army Contracting Command Rock Island (ACC-RI)

CUSTOMER COMPLAINT RECORD

DATE OF COMPLAINT TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION (Include name of person and contact information of person reporting the complaint for the organization

INDIVIDUAL (Include name and contact information)

NATURE OF COMPLAINT

CONTRACT NUMBER & REQUIREMENT REFERENCE

VALIDATION (document findings of validation of complaint), Complaint IS Valid (notify contractor) Complaint IS NOT Valid

DATE / TIME CONTRACTOR INFORMED OF COMPLAINT CONTRACTOR NAME RECEIVING COMPLAINT

ACTION TAKEN BY CONTRACTOR

RECEIVED AND VALIDATED BY

Copy provided for filing (COR) DATE: Customer Follow-up DATE:

TIME OF COMPLAINT:
NATURE OF COMPLAINT:
CONTRACT NUMBER REQUIREMENT REFERENCE:
VALIDATION document findings of validation of complaint Complaint IS Valid notify contractor Complaint IS NOT Valid:
Complaint IS Valid notify contractor: Off
Complaint IS NOT Valid: Off
DATE TIME CONTRACTOR INFORMED OF COMPLAINT:
CONTRACTOR NAME RECEIVING COMPLAINT:
ACTION TAKEN BY CONTRACTOR:
RECEIVED AND VALIDATED BY:
Copy provided for filing COR DATE Customer Followup DATE:
undefined: Off
undefined_2: Off
Date1_af_date:
Organization:
Individual:
Date4_af_date:
Date5_af_date:

File details come from the government source that posted it. Updated .